complaint·December 17, 2024

The investigation revealed the following: Allegations – Questionable death and Staff did not seek timely medical care for resident. It was alleged that Resident #1 (R1) was unresponsive and possibly not breathing for approximately 40 minutes prior to 911 being called. IB Investigator Spindola interviewed the administrator, staff, and family member to determine findings. On 8/5/24 just before 7 am, R1 was discovered by facility staff cold to touch and not breathing. Staff contacted 911 after being instructed by the administrator. The West Covina Fire Department and Police Department arrived on scene and medical personnel performed CPR on R1. R1 was pronounced deceased at 7:26 am. Emergency personnel reports indicated that R1 was pulseless and there were no signs of foul play. It was also mentioned that the death appeared natural with no unusual markings or injuries. The police officer confirmed with the Deputy Coroner who advised the case was not a coroner case. Facility staff and R1’s family member stated that R1 had been in poor health in the days prior to the death. R1’s family took resident to the doctor on 8/1/24 and was told by the doctor that everything looked okay. Based on the reports and interviews gathered, R1’s death was not deemed questionable and Staff contacted 911 soon after discovering resident was not breathing. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Briana McGee. A copy of this report along with the appeal rights was provided.